NPI | 1003485228 |
---|---|
Doing Business As | MAGNOLIA RIDGE HRC, LLC |
Entity Type | Organization |
Authorized Contact | DEBORAH KENNEDY Authorized Agent 321-725-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2021-06-22 |
Last Update Date | 2023-11-03 |